We are currently seeking a detail-oriented and dedicated Medical Biller to join our team. You will manage billing and collection of outstanding account balances for Medi-Cal and managed care payors. Responsibilities include processing medical billing, auditing clinical documentation for accuracy and medical necessity, running reports from electronic health records, tracking billing and coding corrections, interpreting complex insurance contracts, collaborating with clinical staff to resolve billing issues, verifying insurance eligibility and benefits, providing management updates on claim status, maintaining confidentiality, reviewing and submitting complex claims, analyzing denial rates and reimbursement trends, delivering strategic recommendations to leadership, partnering with finance and compliance teams, and ensuring adherence to HIPAA, CMS, Medi-Cal, and other payer regulations. Serve as a subject matter expert on billing regulations and payer requirements.
Experience in Behavioral Health medical billing, particularly with Medi-Cal and managed care. Strong analytical and problem-solving skills. Previous experience with medical coding. Highly detail-oriented and organized. Knowledge of healthcare billing, payer requirements, and insurance claim processing. Familiarity with healthcare IT systems, including interfaces and integrations. Strong communication and interpersonal skills. 3-5 years of experience in a mental health setting, including one year of experience generating reports, data analysis, auditing, and compliance. High School diploma or equivalent required.
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- Competitive Compensation
- Great Work Environment
- Career Advancement Opportunities
Location
San Diego, California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago